Kathryn M Shaffer, in Bentonville, AR - Medicare Counselor Provider

Kathryn M Shaffer, is a medicare enrolled "Counselor - Professional" provider in Bentonville, Arkansas. Her current practice location is 2508 Se 20th St, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 273-9088.

Kathryn M Shaffer is licensed to practice in Arkansas (license number P2409007) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073243085.

Contact Information

	Kathryn M Shaffer,
	2508 Se 20th St, Bentonville, AR 72712-4008
	(479) 273-9088
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn M Shaffer
Gender	Female
Speciality	Counselor - Professional
Location	2508 Se 20th St, Bentonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073243085
Provider Enumeration Date: 06/13/2022
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1052842705
Enrollment ID: I20241004001521

Medical Identifiers

Medical identifiers for Kathryn M Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073243085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A2208014 (Arkansas)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	P2409007 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn M Shaffer allows following entities to bill medicare on her behalf.

Entity Name	Ozark Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn M Shaffer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathryn M Shaffer, 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020	Kathryn M Shaffer, 2508 Se 20th St, Bentonville, AR 72712-4008 Ph: (479) 273-9088

Reviews and Comments

Counselor in Bentonville, AR

Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060

Kathryn M Shaffer, - Medicare Counselor in Bentonville, AR